MRS. KIZZIE MARIE DURGOM RN
NPI 1104175694
Registered Nurse in Racine, WI

Active since August 30, 2012
2000 DOMANIK DR, RACINE, WI 53404(262) 633-4800 Get Directions Write a Review

NPPES record last updated: August 30, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kizzie Marie Durgom Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIZZIE MARIE DURGOM RN (NPI 1104175694) is an individual registered nurse in Racine, Wisconsin, licensed in Wisconsin (16629730) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1104175694
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameMRS. KIZZIE MARIE DURGOMCredential: RN
Location Address2000 DOMANIK DRRacine, WI 53404-2910
Mailing Address2000 Domanik DrRacine, WI 53404-2910 · (262) 633-4800
Sole ProprietorNo
Enumeration DateAugust 30, 2012
NPI 1104175694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in WI · 16629730
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
2000 DOMANIK DR, Racine, WI 53404

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
2000 DOMANIK DR
RACINE, WI 53404
Social Worker (Clinical)
2000 DOMANIK DR
RACINE, WI 53404
Licensed Practical Nurse
2000 DOMANIK DR
RACINE, WI 53404
Registered Nurse (Home Health)
2000 DOMANIK DR
RACINE, WI 53404
Licensed Practical Nurse
2000 DOMANIK DR
RACINE, WI 53404
Registered Nurse
2000 DOMANIK DR
RACINE, WI 53404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kizzie Durgom's NPI number?

The NPI number for Kizzie Durgom is 1104175694. It was assigned to this individual provider in the NPPES registry on August 30, 2012.

Where is Kizzie Durgom located?

Kizzie Durgom practices at 2000 Domanik Dr, Racine, WI 53404. The listed phone number is (262) 633-4800.

What is Kizzie Durgom's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Kizzie Durgom was last updated on August 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.